To clarify useful indicators for judging the necessity and type of orthosis, two groups with or without orthosis prescription for 34 putaminal hemorrhage patients, and the type of orthosis prescribed. The brain image findings, orthotic information, and physical functions were compared. There was a significant difference in the admission days, walking ability, motor function, and ADL between the two groups. Bleeding volume and minor axis were significantly different between the KAFO-PAFO group, and major axis was significantly different between the KAFO-PAFO group and MAFO-PAFO group, but physical function was not different among the three groups. Judging prescribed orthotics is a useful index for physical function and ADL, but brain imaging findings are also a useful index for the type of orthotics.

Restoration of walking in paraplegic patients with the exoskeleton robot has different uses depending on the model. When using an exoskeleton robot in daily life, the walking speed affects the quality of life. In this study, we investigated the elements required for fast walking with the exoskeleton robot ReWalk^TM. Therefore, walking speed was compared with previous studies. Next, the changes in walking parameters and trunk angle by three-dimensional motion analysis were examined. Result : The forward lean of the trunk during walking and walking speed were found to have strong negative correlation. It was suggested that trunk control using the Lofstrand clutch is one of the factors that improve walking speed.

Medical information was collected for seven patients who received occupational therapy after finger amputation and partial hand amputation. The purpose of this study was to examine the role of the occupational therapist before making the artificial hand for various amputation sites and high-level finger amputation and partial hand amputation. As a result, five people had a specific request for the artificial hand, and there was a tendency to pursue not only decorativeness but also functionality in the cutting of the finger, which is indispensable for the position of facing other digits. The importance of providing a variety of treatment options, including provision of a temporary hand prosthesis, before making an artificial hand was suggested.

We investigated the prescription situation of lower extremity orthoses in hemiplegic patients after stroke, retrospectively from 2007 to 2018, in a convalescent rehabilitation ward (CRW). The ratio of the patients whom orthoses were prescribed for among all hemiplegic patients was 12%, and double upright ankle foot orthosis (DU-AFO) and knee ankle foot orthosis (KAFO) accounted for about 80% of the total orthoses. The average period from the onset of illness to the prescription of orthoses was from 30 to 40 days in every year, and there was no significant change through the 12 years. In examination according to the type of orthosis, DU-AFO and KAFO were prescribed at an early stage after the onset of illness. The walking ability at the time of discharge of patients prescribed KAFO was significantly lower in comparison with those of patients prescribed other orthoses. This study clarifies the annual change in the prescription time and type of orthosis for hemiplegic patients in CRW and the fact that orthoses were prescribed for treatment at an early stage after the onset of illness.